Healthicity Blog

Is your compliance program diligently performing its exclusions’ checks against sanctioned individuals?  Does it seem like a mundane task that hardly ever turns up an excluded individual?

What is it about it about human nature that can cause non-compliance? How does a structured compliance program help combat our weaknesses?

1. Grenada Lake Medical Center to Pay More Than $1.1 Million to Resolve False Claims Act Allegations Involving Medically Unnecessary Psychotherapy Services –

Disciplinary action gives everyone an uneasy feeling. It’s one of those things that nobody likes to talk about.

1. Healogics Agrees to Pay Up to $22.51 Million to Settle False Claims Act Liability for Improper Billing of Hyperbaric Oxygen Therapy –

Most of us are familiar with Stephen R. Covey’s popular book, The 7 Habits of Highly Effective People. It provides timeless insight for both personal and professional effectiveness.

Compliance metrics are super important. They help your organization evaluate compliance risk mitigation against your organizations accepted level of risk tolerance.

Let’s say you’re a Medicare Advantage organization and one day you receive a notification from CMS that you’ve been selected for a program audit. What should you do?